I asked him in a kind of roundabout way "i have an academic question- is it necessarily psychotic to infdlicyt injury on oneself" he No but its dysfunctional. Then I was able to wear shorter sleaves and much later along he was shoewing me letter he got anon. from "me" telling on myself. He said his first mandate is my safety and I said So is mine. So he implied trust that we were both on the same page. i dont report everything its in the background that we both know it goes on sometimes and thsat i would "tell on myself" if it was mortally dangerous and i saw it coming (like causeing a car crash or being accident prone)
He knows i dont refill a scrip that should hahve run out because he was told about meds being thrown out and replaced with laxative. All self injury isnt cutting and burning- its also neglect and sabatouge of your health and welfare.